RN QUIZ #3
Immunity Patient Centered Care Health Promotion
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A nurse is planning care for a client who experienced a stroke in the right hemisphere of his brain. What should the nurse do?
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A nurse is providing health teaching about pediatric immunizations to the parents of a child. Which of the following is the most appropriate information for the nurse to give the parents about immunizations?
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A nurse is teaching the parents of a child diagnosed with a urinary tract infection secondary to vesicoureteral reflux. How should the nurse explain how the reflux contributes to the infection?
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appendicitis
Abdominal rigidity and pain at McBurney's point may indicate: rebound tenderness Rebound tenderness (McBurney's Point), Rovsing Sign (Right Lower quadrant pain with palpation in Left lower quadrant)
A nurse-manager in the office of a group of surgeons has received complaints from discharged clients about inadequate instructions for performing home care. Knowing the importance of good, timely client education, the nurse-manager should take which steps?
b) Work with the surgeons' staff and the nursing staff in the hospital and outpatient surgical center to evaluate current client education practices and make revisions as needed.
A client is in the first stage of Alzheimer's disease. Which of the following activities should the nurse include in the plan of care? Select all that apply.
providing emotional support and individual counseling.
cellulitis
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immunity concept Infection concept Immunizations Appendicitis Urinary Tract Infection Otis Media pneumonia Cellulitis Trauma-sprain Health Promotion Patient Centered Care
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A 2-year-old is being treated for pneumonia. After reviewing the respiratory section of the client care flow sheet, the nurse concludes that which position is most beneficial to maximize oxygenation?
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A 70-year-old, previously well client asks the nurse, "I notice I have tremors. Is this just normal for my age?" What should the nurse tell the client?
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A nurse is obtaining the history of an infant with suspected acute otitis media. What should the nurse ask the parent about? a) position of the infant when taking a bottle b) covering of the infant's ears when out in the cold c) immunization status of the infant d) thorough drying of the infant's ears after a bath
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An adolescent client is brought to the emergency department with suspected appendicitis. Which assessment findings does the nurse expect to find with this diagnosis? Select all that apply.
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Basic Physical Care Basic Psychosocial Needs Basic Physical Assessment The Nursing Process Infant Toddler Preschooler School-age Child Adolescent
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Cognition Functional Ability Safety Patient Education Teamwork & Collaboration
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Following a stroke, a client has dysphagia and left-sided facial paralysis. Which feeding technique will be most helpful at this time?
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Mood, Adjustment, and Dementia Disorders Substance Abuse, Eating Disorders, Impulse Control Disorders Antepartum Period Postpartum Period The Neonate Cardiovascular Disorders Oncologic Disorders Gastrointestinal Disorders Immune and Hematologic Disorders Endocrine and Metabolic Disorders Neurosensory Disorders Respiratory Disorders
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The nurse is teaching a client with bladder dysfunction from multiple sclerosis (MS) about bladder training at home. Which instructions should the nurse include in the teaching plan? Select all that apply.
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The nurse teaches appropriate care measures to the parents of a 5-year-old child who has been given trimethoprim/sulfamethoxazole for a urinary tract infection. What directives should be included in the teaching plan? Select all that apply.
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The parent of a child who is taking an antibiotic for bilateral otitis media tells the nurse that they have stopped the medicine since the child is better and are saving the rest of the medication to use the next time the child gets sick. What should the nurse tell the parent?
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What instructions should the nurse provide to a client who develops cellulitis in the right arm after a right modified radical mastectomy? a) Arm exercises will get rid of the cellulitis. b) Ice pack should be applied to the affected area for 20 minute periods to reduce swelling. c) The right extremity should be lowered to improve blood flow to the forearm. d) Antibiotics will need to be taken for 1 to 2 weeks.
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When assessing the client with multiple sclerosis for potential complications of the disease, the nurse should asses the client for which of the following? Select all that apply.
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A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn't enunciate words well and holds onto furniture when he walks. The nurse should ask the mother:
how the child's condition today differs from his normal condition
The nurse develops a teaching plan for a client newly diagnosed with Parkinson's disease. Which topic is most important to include in the plan?
maintaining a safe environment The primary focus is on maintaining a safe environment because the client with Parkinson's disease usually has a propulsive gait, characterized by a tendency to take increasingly quicker steps while walking. This type of gait commonly causes the client to fall or to have trouble stopping. The client should maintain a balanced diet, enhance the immune system, and enjoy diversional activities;
A client has been in the critical care unit for 3 days following a severe myocardial infarction. Although he is medically stable, he has begun to have fluctuating episodes of consciousness, illogical thinking, and anxiety. He is picking at the air to "catch these baby angels flying around my head." While waiting for medical and psychiatric consults, which needs have the highest priority? Select all that apply.
1, 2, 4.
A client with cirrhosis of the liver is in the hospital. The nurse involves the client in developing a plan of care. What would be important aspects to include in this plan?
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A nurse is obtaining the history of an infant with suspected acute otitis media. What should the nurse ask the parent about?
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